Abstract
Aims
Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries.
Methods and results
Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension.
Conclusion
May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
| Original language | English |
|---|---|
| Pages (from-to) | 2006–2017 |
| Journal | European Heart Journal |
| Volume | 40 |
| Issue number | 25 |
| DOIs | |
| Publication status | Published - 1 May 2019 |
Keywords
- Hypertension, Blood pressure, Screening, Global, Treatment, Control
Access to Document
- 10.1093/eurheartj/ehz300Licence: CC BY-NC
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In: European Heart Journal , Vol. 40, No. 25, 01.05.2019, p. 2006–2017.
Research output: Contribution to journal › Article › peer-review
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T1 - May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension
AU - Beaney, Thomas
AU - Burrell, Louise M
AU - Castillo, Rafael R
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AU - Qirjako, Gentiana
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AU - Mosepele, Mosepele
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AU - Schmeider, Roland E
AU - Twumasi-ankrah, Betty
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AU - Lincoln, Mary D
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AU - Wyss Quintana, Fernando S
AU - Kenerson, John
AU - Jean Baptiste, Emmanuela D
AU - Saintilmond, Wideline W
AU - Barrientos, Ana L
AU - Peiger, Briggitte
AU - Lagos, Ashley R
AU - Forgas, Marcelo A
AU - Lee, Vivian W Y
AU - Tomlinson, Brian W Y
AU - Járai, Zoltán
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AU - Mukherjee, Tapan K
AU - Patil, Mansi
AU - Pulikkottil Jose, Arun
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AU - Tiksnadi, Badai B
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AU - O'brien, Eoin
AU - Borghi, Claudio
AU - Ferri, Claudio
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AU - Calmes, Jessica
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AU - Neupane, Dinesh
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AU - Lin, Eric
AU - Mondo, Charles K
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AU - Negresku, Elena
AU - Evstigneeva, Olena
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AU - Agrawal, Amrish
AU - Bin Belaila, Buthaina A
AU - Suhail, Aisha M
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AU - Garré, Laura L
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AU - Lopez-rivera, Jesus A
AU - Morr, Igor
AU - Duin, Amanda
AU - Huynh, Minh V
AU - Cao, Sinh T
AU - Nguyen, Viet L
AU - To, Muoi
AU - Phan, Hung N
AU - Cockroft, John
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AU - Xia, Xin
PY - 2019/5/1
Y1 - 2019/5/1
N2 - AbstractAimsRaised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries.Methods and resultsEighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension.ConclusionMay Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
AB - AbstractAimsRaised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries.Methods and resultsEighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension.ConclusionMay Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.
KW - Hypertension, Blood pressure, Screening, Global, Treatment, Control
U2 - 10.1093/eurheartj/ehz300
DO - 10.1093/eurheartj/ehz300
M3 - Article
SN - 0195-668X
VL - 40
SP - 2006
EP - 2017
JO - European Heart Journal
JF - European Heart Journal
IS - 25
ER -